| Clinic & Others | |
|
1425 Portland Ave Rochester NY 14621-3001 | |
| (585) 922-4000 | |
| Not Available |
| Full Name | Clinic & Others |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1425 Portland Ave, Rochester, New York |
| Authorized Official Name and Position | Paula Tinch (SVP-FINANCE) |
| Authorized Official Contact | 5859221223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic & Others 1425 Portland Ave Rochester NY 14621-3001 Ph: (585) 922-4000 | Clinic & Others 1425 Portland Ave Rochester NY 14621-3001 Ph: (585) 922-4000 |
| NPI Number | 1861568594 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861568594 | NPI | - | NPPES |
| 00303315 | Medicaid | NY |
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